Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
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Paget-Schroetter's syndrome (PSS) is an effort-related syndrome involving upper extremity deep vein thromboses (UEDVTs) that usually occur in the subclavian or axillary veins. The aetiology is distinct from that of lower extremity DVTs (LEDVTs). Although rare, the syndrome can occur in young, otherwise healthy people who participate in upper extremity activity (Roche-Nagle et al 2007) such as footballer Gary Cahill, a defender at Bolton Wanderers, whose hopes of playing football at international level this season have diminished as a result of developing a UEDVT (BBC Sport 2010). This article discusses the incidence and aetiology, and provides a case study, of the syndrome.
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A detailed review of donation activity since the introduction of an embedded specialist nurse in organ donation (SNOD) in Norfolk and Norwich University Hospitals NHS Foundation Trust has confirmed the benefits of this role for the identification and referral of potential donors by emergency department (ED) staff. This article argues that, as EDs across the U. K. introduce SNODs, more organs will become available for transplant.
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To discover the factors influencing patients' decisions to attend emergency departments (EDs) for non-urgent treatment. ⋯ A targeted social marketing campaign is needed to address the misconceptions of people who self-present at EDs. The employment of nurse advisors to assess and divert patients to appropriate care services can reduce attendance at EDs and would educate attendees about help-seeking decisions.
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The treatment received in emergency departments by people who self-harm depends to a great extent on the behaviour of staff and how this is perceived by service users. In this article, a long-time service user describes how she was pleasantly surprised by the attitudes of the emergency nurses and doctors who cared for her after she had self-harmed.
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The development of trauma networks in the U. K. has been proposed to standardise care and improve outcomes, and thereby reduce morbidity and mortality rates among severely injured patients. This article outlines the history of trauma networks in the United States and the advantages and disadvantages of setting them up in the U. K.